摘要
[目的]通过调查在校与在岗不同时间轨道订单定向医学生的留任意愿,并分析其影响因素,为我国订单定向医学生的培养提供理论参考。[方法]以山西省1024名在校订单定向医学生、683名在岗履约员工为研究对象,进行问卷星线上问卷调查,采用统计描述、秩和检验、多重响应分析和非条件Logistic回归模型进行数据分析。[结果]在1024名在校订单定向医学生中,299人(29.2%)选择未来履约期满后继续留任,年级、对全科医学的信心、是否自愿从事全科医学是留任意愿的影响因素。在683名在岗履约员工中,163人(23.9%)选择履约期满后继续留任,年龄、工作满意度与薪资满意度是留任意愿的影响因素。在对留任因素排序分析中,提高工资福利及待遇、进修及继续教育方面得到单位的支持、职称晋升与多点执业方面得到支持依次排在前3名。[结论]在校订单定向医学生及在岗履约员工留任意愿均较低,年级/年龄是留任意愿的负向影响因素,对全科医学的信心与自愿性、工作与薪资满意度是留任意愿的正向影响因素。
Objective This paper studies the retention intention of current students and in-service employees in compulsory rural service directed medical student free training program,and analyzes its influencing factors,so as to provide theoretical references for the training of medical students in compulsory rural service directed medical student free training program.Methods A total of 1024 current medical students in compulsory rural service directed medical student free training program and 683 in-service contracted employees in Shanxi Province were selected as the research objects to conduct an online questionnaire survey.Statistical description,rank sum test,multiple response analysis and unconditional logistic regression were used for data analysis.Results Among the 1024 current medical students in the program,299(29.2%)would choose to remain in office after the expiration of their contract.Grade,confidence in general practice and willingness to practice general practice were the factors influencing the intention to stay.Among the 683 in-service contracted employees,163(23.9%)would choose to remain in office after the expiration of their contract.Age,job satisfaction and salary satisfaction were the factors influencing the intention to stay.In the analysis of the ranking of retention factors,the improvement of salary and benefits,the support of the employer for further training and education,the promotion of professional titles and the support for multi-site practices ranked the top three successively.Conclusions The retention intentions of current medical students in compulsory rural service directed medical student free training program and in-service contracted employees are low.Grade or age is a negative influencing factor of retention intention,while confidence in general practice and voluntariness and job and salary satisfaction are positive factors influencing retention intention.
作者
刘浩
王雪洋
晏莹莹
段朝霞
LIU Hao;WANG Xueyang;YAN Yingying;DUAN Zhaoxia(School of Management,Shanxi Medical University,Taiyuan Shanxi 030000,China;Medical Administration and Management Bureau,Health Commission of Shanxi Province,Taiyuan Shanxi 030013,China)
出处
《卫生软科学》
2024年第9期84-88,94,共6页
Soft Science of Health
基金
山西省软科学研究重点项目(2018042018)。
关键词
订单定向
医学生
留任意愿
全科医学
医学教育
影响因素
compulsory rural service directed medical student free training program
medical students
retention intention
general practice
medical education
influencing factors
